Central Mindanao University

COLLEGE OF NURSING
NRSG 52. NURSING NUTRITION
FINAL EXAM
ABSOLUTELY NO CHEATING
READ INSTRUCTIONS CAREFULLY
Multiple Choice: Write your answers on the space provided before each number.
STRICTLY NO ERASURES. Any superimposition would invalidate your answer.
1. These are types of feeding designed for individuals who cannot accept or
assimilate nutrients enterally
A. parenteral feeding.
B. normal feeding
C. Spoon feeding
D. Intravenous feeding
2. The patient with nasogastric tube has nasopharyngeal irritation, which of the
following interventions should be applied?
a. give anesthesia topically
b. give decongestants
c. wash with plain NSS
d. provide ice chips.
3. For three days a comatose patient has not defecated, what will you add to her
diet?
a. 1 serving of apple per meal
b. 1 glass of milk per meal
c. 1 serving of camote tops per meal.
d. give stool softener mixed in the food
4. It is a type of enteric feeding route wherein the tube extends from the nose into
the stomach
a. nasogastric tube.
b. esophagostomy tube
c. gastrostomy tube
d. jejunostomy tube
5. a patient with peptic ulcer is admitted, what type of diet is most likely prescribed
to the patient?
a. Bland diet.
b. meat diet
c. vegetable diet
d. carbohydrate diet
6. Which among the food should be avoided to patients with hyperacidity?
a. milk
b. bread
c. hot chilli.
d. vegetables
7. Another term for malabsorption syndrome is:
a. colic disease
b. diarrhea
c. amoebiasis
d. celiac disease.
8. It is a diarrheal condition in which there is excessive fat excreted in the stool
a. steatorrhea.
b. gonorrhea
c. amenorrhea
d. oliguria
9. It is a condition where the mucosa of the small intestine is damaged by gluten
which results to the malabsorption of nutrients
a. ulcerative colitis
b. gouty arthritis
c. celiac disease.

A pediatric patient with celiac disease is admitted.
11.
upon digging the history you knew that the mother has wean from breastfeeding to
bottle feeding. It is a malabsorption disorder cause by resections of portions of the small
intestine due to an illness or injury
a.
c. thickened soup with wheat
d. constipation
d. rice
c. continue breastfeeding. cancer
d. What will you teach to her mother in home care?
a. drink 1 liter of water an hour before meals
d. childbearing
c. malabsorption
d. until appetite has improved
19. It is a condition in which a person experiences hard feces that is difficult to
egest. eating spicy foods
d. decreasing water intake
c. The following are possible causes of haemorrhoids.
b.
b.
b.
a. constipation. spicy foods. breaded meats
b. no more green vegetables
c. bulging eyes
b. refrain from strenuous exercises
18.
c. reduce fiber rich foods
b. sunken fontanels. diarrhea
b. protein rich-foods
20. enemas
d. pitting edema
d. What could be your findings in your physical assessment of Drex that indicate
he is dehydrated
a.
17. haemorrhoids
c. corn soup. eat small frequent meals. what type of foods is allowed
to give
a. vomiting
13. amoebiasis
c. lactose intolerance. intestinal gas. soft drinks. A patient with gastroesophageal reflux is asking for information regarding her
diet. It is suggestive that the patient has
a. fatty foods
d. diabetes
10. Yasmira has haemorrhoids. malaria
12.
b.d. NPO for a day. give antidiarrheal drugs
d. except
a. cathartics
b. she has to changed her usual diet by
a. It is referred to as an increased occurrence of passage of gas or cramping pain
associated with buildup of gas in the GIT
a. oatmeals
c. Which among the food list can irritate damaged esophageal mucosa
a.
14. lactose intolerance
15. ascites
16. eat fatty foods
b. haemorrhoids
. Baby Drex was admitted due to diarrhea for 2 days especially after feeding.
c. what health teaching will you include?
a. increasing water intake up to 8-10 glasses or more.

inflammation of the pancreas due to decrease intake of fatty food
28. neurosis
c. arteriosclerosis
d. mint pepper
d.
b. esophagitis
d.
b. Hepatitis D
24. appendicitis
c. cystic fibrosis. Patients with cystic fibrosis should
a. Which of the following is not allowed to hypertensive patients
a. It is the inflammation of the gallbladder
a. atherosclerosis. cholecystitis. gastritis
c. short bowel syndrome.
d. cholelithothiasis
27. rheumatoid arthritis
29. rheumatoid arthritis
31. This a condition in which there is enlargement of veins which occurs in the lower
part of the rectum at the anal opening
a. increase fluid intake. This refers to the hardening of the arteries and thickening of the inside walls of
the blood vessels
a. Hepatitis C
d. alcohol. decrease fluid intake
c.
b. polariods
22. cholecystitis
c. esophagitis
c. what should be avoided
a. increase fat intake
d. Hepatitis A.
d.
c. inflammation of the pancreas due to increase intake of fatty food
d. cystic fibrosis
c. arteriosclerosis
d. Hepatitis B
c.
b. endomyelitis
26.b. haemorrhoids. It is a condition wherein there is scarring of the liver to patients with hepatitis
a. inflammation of the pancreas due to a decreased production of the
digestive enzyme. choledolithiasis
d. Hereditary disease in which there are high levels of sodium and chloride in
tears. saliva and sweat
a. cholelithiasis
d. cirrhosis. A patient is diagnosed with Hepatitis B. choledolithias.
b. hiatal hernia
b.
b.
b. inflammation of the pancreas due to increase production of digestive
enzyme
c. low sodium diet
. Mr Brown has pancreatitis which means
a.
b. spicy food
c. liver atrophy
23. increase carbohydrate intake
30. It is a condition in which stones fall into the bile duct
a. atherosclerosis
b. intestinal gas
21. yellow foods
25. Which among the types of hepatitis can be transmitted through contaminated
food
a.

has forced her child to consume high fiber fruits
d. breast cancer
53. colic. pneumonia
43. flake fish and chop meat.d. child has been playing in the playground
b. A mother is complaining in feeding a toddler with food jags. fiber riched foods
b. What possible complications might occurs to patients who are alcoholics
a. banana. child has been weaned from bottle feeding
c. green leafy vegetables
c. prepared mixed fruits or halohalo
44.
b.
46.
d.
d. start slowly with a food that the toddler hates
b. 4 liters of water before sleeping
c. child may not be feeling well
c. pneumonia
d. child may have supplemental vitamins to boost appetite. An 80 year-old patient had a difficulty in sleeping. has diabetes that runs in the family
c.
c.
b. If diarrhea occurs what possible food should be served with meals?
a.
b. An elderly patient has been weak and emaciated due to difficulty of chewing
from loss of teeth and not getting use to dentures. chop vegetables in large chunks
c. prepare simple dishes.
51.
50. The common food serve to babies among Filipinos is
a. you will teach her to
a. cow’s milk
d. It is an acute paroxysm of pain. child may be given proportion which are too large
d.
b. which of the following
diseases is contraindicated in breastfeeding?
a. what could be given to
promote sleep?
a. pancreatic cancer
c. fussing and cyring and irritability which lasts for
3 months. stick to her rule of clean plate. give hot green tea before sleeping
49. A child was admitted due to urticaria and hives. basing on your assessment
what might be the possible cause of such
a. oats
c. Breastfeeding is mandatory among mothers nowadays.
d. green leafy vegetables
b. milk and coffee
d. upon
history taking you noted that the mother probably
a. serve hot foods
b. child is trying to get attention
b.
a. A toddler is dawdling during meal time. What could be done to solve this
problem?
a. lugaw. intestinal abcess. liver cirrhosis. drink warm milk before sleeping. diarrhea
. child has eaten allergenic foods. serve less that what he will eat
c. A mother is concerned about her school-age child who is overweight. What might not cause such behaviour?
a. serve attractive food with varying colors
48. child has an overdosage of vitamins
d. has been cooking delicious meal
45. active tuberculosis.
47. lung cancer
b. lung cancer
d. wheat
52.

55. food rich in iron. sweetened condensed milk. The patient asks the nursing assistant for a bedpan. (Refer to situation no. haemorrhoids.
the nurse should check for tube placement in the stomach. overconsumption of citrus fruits
62. The instructor tells the students that before each tube feeding. cooking. sandwich spread
c. When patient is finished. vomiting
54. food rich in sugar
d. These are some benefits of giving citrus fruits to infants. and fried fish. shelled peanuts
d. What is the purpose of
the nurse’s actions?
a. 1 serving of papaya. smoked fish. 1 cup rice. eating spicy food
d. except
a. i slice of mango. 1 cup steamed camote tops. You suspect that the patient has been
a. except
a. skim milk
c. breastmilk
b. help boost immune system
d. eating too much from the required daily allowance
c. 59) what diet should be introduced to the patient above
a. 1 pc of boiled eggs
d.
d. food rich in Vitamin A
61.
b. 1 cup of rice. 1 cup of rice. upper GI bleeding
c. and notes
increase incidence of cavities.
59.
56. What is this most likely a result of
a. promotes gastric ulcers. introduce bland diet
57. The nursing instructor is talking about caring for patients with feeding tubes and
endotracheal tubes. diet high in red meat
b. food rich in fat
c. raw carrots
c.
the nursing assistant notifies the nurse that the patient has bright red streaking
blood in the blood. keep the child’s gum healthy
b.c. 2 pc of medium sized fried
hotdogs
58. prevent child’s skin from bruising easily
c.1 serving of fried longganisa. prevent aspiration. prevent abdominal distention
.
d.
d. 1 cup of milk. prevent gastric ulcers
b. reporting
d. skipping meals. cancer of the large intestion
60. What interventions should be made to address the problem on sweet tooth of
school-age children
a. force bitter foods
b. Which of the following is consistent of a good breakfast for an adult
a. What would be most like to increase the risk of tooth
decay?
a. A newly admitted patient with suspected GI bleeding and notes the tarry-black
color of stool. lactose intolerance
d. It is a type of milk is thickly evaporated milk with large amounts of sugar added
a. evaporated milk. The following are the main roles of nurses in nutritional care of the client. observing
b.
c. listening
c. soft drinks. give sweetened fruits
c. never give sweets as rewards. milk. A school nurse is having her routine assessment to the pupils.
b.
b. cheddar cheese
63.
b.

eggs and shrimps. Which among the food is best for patient with osteomalacia?
a. What general guideline would it be
important to teach the patient at this class?
a. banana
c. What does color of aspirate indicate?
a.d. you do the nutritional assessment and have
known that he is an Adventist that he is prohibited to eat pork. waffle
d. You are caring for a patient with liver failure. The nurse is initiating parenteral nutrition on a postoperative patient. change the rate of infusion hourly
d. citrus fruit and rice
b. the tube is the intestine
c. increasing milk intake.
d. A school nurse is teaching an adolescent girl of normal weight some of the key
factors necessary to maintain good nutrition in her teen year. obtaining a food diary along with providing close monitoring for anorexia
72.
d.
c. tomatoes and bananas
d.
c. risk for malnutrition
d. the tube is in the stomach. eating a balance diet and discussing eating
disorders. The nurse
will initiate the therapy by
a. Which vitamin does the liver
require for the synthesis of prothrombin (clotting factor)?
a. taking a multivitamin. increasing BMI to at least 35. high protein diet
c. What food items would the nurse inform the
parents are common allergens
a. A child has been diagnosed with food allergies. controlled calorie intake based on body weight.
d. The tube is draining green aspirate. Vitamin A
c. unintentional needlesticks
b. Vitamin B12
b. starly slowly. religious practice. cereal with milk. fatty should be eliminated
69. pan de sal
71. Vitamin D
d. the tube is in the esophagus
66. contaminated food
d. a lifestyle choice
. fecal-oral route.
b. starting rapidly on infusion rate
b.
c. and discussing body
image
c. low fat diet
b. Vitamin K. A patient newly diagnosed with type 2 diabetes is attending a nutrition class
specifically designed for type 2 diabetes.
67.
70. the tube is in the pleural space
b. What would the nurse
be correct to focus on?
a. root vegetables and tomatoes
c. What would this be
considered?
a. You are checking placement of a nasogastric tube that has been in place for 2
days. increase infusion rate during mealtimes
65. While admitting your new patient. airborn route
68. a personal choice
b. decreasing her calories and encouraging her to maintain her weight to
avoid obesity
b. How is hepatitis A is transmitted?
a. The nurse is providing
information to the parents of this child. prevent diarrhea
64.

You are completing a health assessment on a new patient.
Assuming she likes all of the following foods. boiled or fried egg. poor personal hygiene
c. assess her skin for hydration and color
d. You would be sure to teach the group that older adults have an
increased need for nutrients and what?
a. You are assessing a new clinic patient who has come in because of an
unintended weight loss of 10 pounds. Which food is not a good source of iron?
a. Which of the
following would be best to recommend?
a. patient is extremely obese. green leafy vegetables
79. You would be
aware that the patient is at risk for what problem?
a. beef
80. What might
this indicate?
a. legumes
c.
b. ask her to describe her total intake for a week
c. you learn that the
patient has ill-fitting dentures and a limited intake of high-fiber foods. You meet a family at the prenatal clinic. brittle hair and dry flaky skin with poor skin turgor. During the assessment. assess a list she makes describing a good diet
b. The nurse in a clinic is providing education to a patient who wishes to lose
weight. A new mother asks you how soon she can breast-feed after delivery. damage from an environmental cause
74. Which of them would you recommend
as a source of this for her?
a. malabsorption of nutrients
d. dull.
76.73.
d. poor nutritional status. inadequate caloric intake
75. increased need for sodium
d. You note that the
patient has dry. grains
d. ask her to describe her intake for the last 24 hours.
d. take two aspirin on arising
81. What
does this indicate?
a. whole apple
b. delay toothbrushing until noon
c. You encourage a pregnant woman to eat a diet high in complete protein. eating more meat products
82. increased need for glucose
c.
d.
b. patient is overweight
d. mineral oil
b. You best
answer would be (barring unforeseen complications)
. increase fiber intake. constipation. If constipation is a problem for a woman during pregnancy.
c. decreased need for calories. decreased need for calcim
b. toasted bread
c. patient in normal weight
b. What is the most effective way to
assess the woman’s usual food intake during her pregnancy?
a. take a teaspoon of baking soda before breakfast
b. A woman in early pregnancy is concerned because she is nauseate every
morning. stopping prenatal vitamins temporarily
d. take dry crackers in the morning. milk. excessive physical activity
b. You are teaching a nutrition education class held for a group of older adults at a
senior center. dehydration
c. patient is underweight
77.
78. The nurse informs the patient that she has a body mass index of 45.
c. Which of the following would be the best measure to help relieve this?
a.

human gonodotropin hormone
b.
87. oat cereal and skim milk
d. newborns lose more fluids through insensible water loss
88. Which of the following statements is true about breastfeeding?
a. newborns do not have as many fluid choices as adults
b.
c. once the infant has a first feeding of formula
d. advise the mother to disregard any suggestions by her sister about
newborn nutrition. oxytocin. A mother who intends to breastfeed is advised by her sister to use formula for
the first few days until her “real” milk comes in.a. decreasing her fluid intake to take below 500mL per 24 hours
c.
d.
b. after the infant is allowed to rest
c. weight the baby daily to be certain. suggest that the mother use formula to supplement for the first 2 days
b. toasted bread and grape jelly
c. in 24 hours after her infant is given water
83. encouraging her to continue regular breastfeeding. peanut butter and rye toast
90-100. a woman develops breast engorgement. breastfeeding increases the risk for breast cancer
b. A preschooler has celiac disease. which of the
following would be best to recommend to her as a means of alleviating this
problem?
a. keep active because this improves milk production
b. increase fluid intake. Newborns can become dehydrated more easily than adults.
b. the large amount of body fluids are mainly extracellular fluid in a newborn. Which of the following is released by breastfeeding
a. The best response by the nurse
about this information would be
a. On the 4th day postpartum. discontinue breastfeeding for 24 hours
b. lactase
d.
d. uterine involution is slowed by breastfeeding
d. immediately after birth. adults get sick more often
d. having her apply lanolin cream to each breast
84. bre astfeeding offers a good chance for bonding with the infant. estrogen
c.
.
89. discuss the colostrums is all the nutrition a baby needs the first few day of
life
d. Which of the following would you suggest to a mother to help her maintain
effective breastfeeding
a. Signs of good nutrition in children
Bunos Question (5pts) Draw and Explain the “milk let-down reflex”.
86. eggs and orange juice. discuss with the mother that her “real” milk will not come in if she uses
formula and does not
nurse the baby needs the first few day of life
c. By
preparing which breakfast foods would you believe she understands the diet?
a. This is explained by
which statement?
a.
c. Her mother is preparing a gluten-free diet. avoid chocolate to prevent constipation
c. breastfeeding mother have a decreased risk for developing
thrombophlebitis
85.